|
TUMOUR SITE |
TUMOUR EFFECTS |
TREATMENT EFFECTS
CHEMO RADIATION SURGERY
THERAPY THERAPY |
|
Head & Neck |
Difficulty chewing or swallowing |
Nausea
Vomiting
Diarrhea
Stomatitis |
Mucositis
Stomatitis
Dysgeusia, hypogeusia
Xerostomia, dysphagia
Difficulty chewing secondary to dental decay or infection
Viscous saliva
Oropharyngeal
ulceration
Osteoradionecrosis
Fistula
Trismus
|
Impaired chewing &
swallowing
Xerostomia |
|
Esophagus |
Dysphagia secondary to esophageal obstruction
Regurgitation of meals |
Nausea |
Dysphagia
Esophagitis
Esophageal fibrosis or stricture
Fistula
Nausea
Edema |
Decreased gastric motility
Decreased gastric acid production
Fistula
Esophageal stenosis
Regurgitation
Steatorrhea
|
|
Stomach |
Early satiety
Vomiting after meals |
Nausea
Vomiting
Stomatitis
Diarrhea |
Nausea
Vomiting |
Fat malabsorption & diarrhea
Decreased gastric motility
"Dumping"
syndrome
Hypoglycemia
Protein
malabsorption
Deficiences in iron, calcium, fat-soluble
vitamins & vitamin B12
Esophagitis
|
|
Pancreas & biliary tree |
Malabsorption &/or diabetes secondary to pancreatic
insufficiency
Dysgeusia
Nausea
|
Nausea
Vomiting
Stomatitis
Diarrhea |
Nausea
Vomiting |
Diabetes mellitus
Malabsorption of fat, protein, & fat-soluble vitamins &
minerals |
|
Small intestine |
Bowel obstruction
Malabsorption |
Nausea
Stomatitis
Diarrhea |
Gastrointestinal
ulceration
Villous hypoplasia
Malabsorption secondary to
decreased enzyme production
Intestinal fistula
Fibrosis stricture
Obstruction perforation
Hemorrhage
|
Loss of bile salts, calcium, magnesium, zinc
Metabloic acidosis
Increased risk of renal stones
Postoperative gastric
hypersecretion |
|
Colon & rectum |
Bowel obstruction
Malabsorption |
Mild nausea
Stomatitis
Diarrhea |
Chronic colitis
Fibrosis structure
Fistula
Bowel necrosis,
perforation
Malabsorption secondary to
decreased enzyme production
|
Gas production
Diarrhea
Sodium imbalance
Fluid imbalance |
|
Breast |
Weight gain |
Weight gain with adjuvant or hormonal treatment
Musositis
|
Esophagitis
Nausea |
|
|
Lung |
Dysphagia secondary to esophageal
compression
Difficulty eating
secondary to dyspnea
|
Nausea
Vomiting
Stomatitis
Dysgeusia |
Esophagitis |
|
|
Gynecologic |
Bowel obstruction
Ascites
Early satiety
Weight gain |
Nausea
Vomiting
Weight gain
secondary to
hormonal agents
|
Enteritis
Fistula
Stricture
Gas production |
Malabsorption secondary to partial bowel resection |
|
Genitourinary |
|
Nausea
Vomiting
|
Enteritis |
|
|
CNS |
Dysphagia |
Fluid retention
Hyperglycemia
Increased appetite
Weight gain
|
Nausea
Dysgeusia |
|
|
Lymphoma |
Site dependent
Dysphagia
Malabsorption secondary to mucosal infiltration
|
Nausea
Vomiting
Stomatitis |
Site dependent
Esophagitis
Nausea
Enteritis |
Site dependent |